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Carmel CERTIFICATE NO 0031201580020
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 50546
35-60000972
ONE CIVIC SQUARE
CARMEL,'INDIANA 46032-2594 §q THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
i_.... . .
PURCHASE ORDER DATE i DATE REQUIRED I REQUISITION N0. 7 VENDOR NO. DESCRIPTION
11/10/2017 =11/15/17 :14489 366460 ;Outdoor Uniform Coats kw 2017 New Park Maint Staff
Ray Marketing Parks Maintenance
P.O.Box 102 1427 E. 116th Street ATTN:Courtney
VENDOR Beech Grove,IN 46107 To P Carmel,IN 46032
CONFIRMATION 1 BLANKET I CONTRACT PAYMENT TERMS .^_^.^.,,.. FREIGHT
QUANTITY UNIT OF MEASURE j DESCRIPTION 1 UNIT PRICE EXTENSION
4.000 each Carhartt Jacket Navy#C003 DNY-3 Large and 1 Xlarge $85.8500 $343.40
1.000 each Carhartt Jacket Navy#C003 DNY-2XL $87.8500 $87.85
GLAccount#1125401-4356004
Send Invoice To:
$431.25
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT 1 AMOUNT
PAYMENT
• AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PA.NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. CUD SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER \�
DOCUMENT CONTROL NO. 50546 VENDOR COPY \ 4�